Willow Creek Medical Llc

LBN: Willow Creek Medical Llc
Willow Creek Medical Llc is an health care organization with primary practice located at 3156 Willowcreek Rd , Portage IN 46368-4424. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Willow Creek Medical Llc can be contacted via phone (219) 762-4999, or through Kumar, Ashwani via phone (219) 762-4999.

Contact Information

Primary practice address
3156 Willowcreek Rd Portage IN 46368-4424
Phone: (219) 762-4999
Fax: (219) 762-2288
Website:
Map and Directions
Authorized official contact:
Name: Kumar, Ashwani Doctor of Medicine (MD)
Phone: (219) 762-4999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 010133934B Indiana

Profile Details

NPI number 1073660049
LBN Legal business name Willow Creek Medical Llc
DBA Doing business as
Authorized official Kumar, Ashwani Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Dec 17th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073660049 NPPES
Indiana MEDICAID 200237500
Indiana Other CG2594

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